| NPI | 1801348230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161963) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH LPN096352.MEDS) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2025-06-20 |